TY  - JOUR
AU  - Ryan, Kelly Ann
AU  - Babu, Pallavi
AU  - Easter, Rebecca
AU  - Saunders, Erika
AU  - Lee, Andy Jinseok
AU  - Klasnja, Predrag
AU  - Verchinina, Lilia
AU  - Micol, Valerie
AU  - Doil, Brent
AU  - McInnis, Melvin G
AU  - Kilbourne, Amy M
PY  - 2020
DA  - 2020/9/22
TI  - A Smartphone App to Monitor Mood Symptoms in Bipolar Disorder: Development and Usability Study
JO  - JMIR Ment Health
SP  - e19476
VL  - 7
IS  - 9
KW  - bipolar disorder
KW  - momentary assessment
KW  - mood
KW  - mobile phone
KW  - mobile app
AB  - Background: There is considerable scientific interest in finding new and innovative ways to capture rapid fluctuations in functioning within individuals with bipolar disorder (BD), a severe, recurrent mental disorder associated with frequent shifts in symptoms and functioning. The use of smartphones can provide valid and real-world tools for use in measurement-based care and could be used to inform more personalized treatment options for this group, which can improve standard of care. Objective: We examined the feasibility and usability of a smartphone to capture daily fluctuations in mood within BD and to relate daily self-rated mood to smartphone use behaviors indicative of psychomotor activity or symptoms of the illness. Methods: Participants were 26 individuals with BD and 12 healthy control individuals who were recruited from the Prechter Longitudinal Study of BD. All were given a smartphone with a custom-built app and prompted twice a day to complete questions of mood for 28 days. The app automatically and unobtrusively collected phone usage data. A poststudy satisfaction survey was also completed. Results: Our sample showed a very high adherence rate to the daily momentary assessments (91% of the 58 prompts completed). Multivariate mixed effect models showed that an increase in rapid thoughts over time was associated with a decrease in outgoing text messages (β=–.02; P=.04), and an increase in impulsivity self-ratings was related to a decrease in total call duration (β=–.29; P=.02). Participants generally reported positive experiences using the smartphone and completing daily prompts. Conclusions: Use of mobile technology shows promise as a way to collect important clinical information that can be used to inform treatment decision making and monitor outcomes in a manner that is not overly burdensome to the patient or providers, highlighting its potential use in measurement-based care. 
SN  - 2368-7959
UR  - http://mental.jmir.org/2020/9/e19476/
UR  - https://doi.org/10.2196/19476
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32960185
DO  - 10.2196/19476
ID  - info:doi/10.2196/19476
ER  -